Evidence map›Paper›PMID 32676551›Full record

ArticleJNCI cancer spectrum2020

Area Deprivation Index and Rurality in Relation to Lung Cancer Prevalence and Mortality in a Rural State.

Kathleen M Fairfield, Adam W Black, Erika C Ziller, Kimberly Murray, F Lee Lucas, Leo B Waterston, Neil Korsen, Darlene Ineza, Paul K J Han

Open access · goldAbstract read
In one paragraph

Article in JNCI cancer spectrum, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
3.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 98 citations in OpenAlex.

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  9. Self-advocacy training within a peer navigation model in advanced cancer: a pilot study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Kathleen M FairfieldCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04101, USA.
Adam W BlackCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04101, USA.
Erika C ZillerMuskie School of Public Service, University of Southern Maine, Portland, ME 04101, USA.
Kimberly MurrayCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04101, USA.
F Lee LucasCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04101, USA.
Leo B WaterstonCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04101, USA.ORCID 0000-0003-1261-0650
Neil KorsenCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04101, USA.
Darlene InezaBowdoin College, Brunswick, ME 04011, USA.ORCID 0000-0001-7270-2579
Paul K J HanCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04101, USA.
Maine Medical Center · USBowdoin College · USUniversity of Southern Maine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to describe lung cancer prevalence and mortality in relation to socioeconomic deprivation and rurality.

methodsWe conducted a population-based cross-sectional analysis of prevalent lung cancers from a statewide all-payer claims dataset from 2012 to 2016, lung cancer deaths in Maine from the state death registry from 2012 to 2016, rurality, and area deprivation index (ADI), a geographic area-based measure of socioeconomic deprivation. Analyses examined rate ratios for lung cancer prevalence and mortality according to rurality (small and isolated rural, large rural, or urban) and ADI (quintiles, with highest reflecting the most deprivation) and after adjusting for age, sex, and area-level smoking rates as determined by the Behavioral Risk Factor Surveillance System.

resultsAmong 1 223 006 adults aged 20 years and older during the 5-year observation period, 8297 received lung cancer care, and 4616 died. Lung cancer prevalence and mortality were positively associated with increasing rurality, but these associations did not persist after adjusting for age, sex, and smoking rates. Lung cancer prevalence and mortality were positively associated with increasing ADI in models adjusted for age, sex, and smoking rates (prevalence rate ratio for ADI quintile 5 compared with quintile 1 = 1.41, 95% confidence interval [CI] =1.30 to 1.54) and mortality rate ratio = 1.59, 95% CI = 1.41 to 1.79).

conclusionSocioeconomic deprivation, but not rurality, was associated with higher lung cancer prevalence and mortality. Interventions should target populations with socioeconomic deprivation, rather than rurality per se, and aim to reduce lung cancer risk via tobacco treatment and control interventions and to improve patient access to lung cancer prevention, screening, and treatment services.

Identifiers

PMID32676551
PMCPMC7353952
OpenAlexW3010375153

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.